| Fleming Island Family Medicine, Llc | |
|
3189 Highway 17 Green Cove Springs FL 32043-9371 | |
| (904) 529-2500 | |
| (904) 529-2509 |
| Full Name | Fleming Island Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3189 Highway 17, Green Cove Springs, Florida |
| Authorized Official Name and Position | Melia A Evans (PRESIDENT) |
| Authorized Official Contact | 9045292500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fleming Island Family Medicine, Llc 3189 Highway 17 Green Cove Springs FL 32043-9371 Ph: (904) 529-2500 | Fleming Island Family Medicine, Llc 3189 Highway 17 Green Cove Springs FL 32043-9371 Ph: (904) 529-2500 |
| NPI Number | 1578519518 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578519518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME94840 (Florida) | Primary |
| 207Q00000X | Family Medicine | ME94745 (Florida) | Secondary |
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